nd.gov - The Official Portal for North Dakota State Government
North Dakota: Legendary. Follow the trail of legends
Workforce Safety & Insurance Logo Top of the page place holder

Contact Us       About Us       News       Careers       Calendar       Free e-Newsletter       RFI/RFP       Links       Site Map      
spacer image
gray hexagon imagespacer imageForms/Library 
red hexagon imagespacer imageEmployers 
orange hexagon imagespacer imageWorkers 
yellow hexagon imagespacer imageMedical Providers green hexagon imagespacer imageSafety & Loss Control 
purple hexagon imagespacer imageOnline Services 
tan hexagon imagespacer imageFraud Awareness 
spacer imageHOME 

Good Evening
11:51:03 PM CDT
Sunday, April 20, 2014

spacer image
Medical Providers Section Header Medical Providers Logo

Utilization Review

Topics Forms & Publications Electro Medical Device Certification Request (M5)
General Information Utilization Review Guide Provider Request for Adjustment (M6)
Authorization Process Utilization Review Request (UR-C) Independent Exercise or Work Hardening/Conditioning Program Requests (C59a)
Physical and Occupational Therapy Treatment Window Utilization Review Request (UR-C) Guidelines Quick Tips for Physical & Occupational Therapists
Durable Medical Equipment (DME) Post Injection Pain Response Note  
Treatment Guidelines    

Treatment Guidelines

WSI utilizes the following evidence-based clinical guidelines from national and state authorities as outlined Administrative Rule 92-01-02-33 (5):

  • Official Disability Guidelines (ODG)
  • American College of Occupational and Environmental Medicine’s Practice Guidelines
  • Guide to Physical Therapy Practice
  • Medical Disability Advisor
  • Diagnosis and Treatment of Physicians and Therapist Upper Extremity Rehabilitation
  • Treatment Guidelines of the American Society of Hand Therapists
  • Other treatment and disability guidelines or standards it deems appropriate to administer claims.

spacer image

Back to Top 

Employers | Workers | Medical Providers | Safety | Online Services | Fraud Awareness | Forms/Library 
Home | Contact Us | About Us | News | Careers | Calendar | Free e-Newsletter | Links | Site Map

© 2013 Workforce Safety & Insurance | comments: wsiwebmaster@nd.gov

Section 508 Accessibility Link    CSS Validation Link